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Urology (Expert Forum)
Reflux
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Reflux
by Tanja__0, Aug 10, 1998 12:00AM
Posted by John on July 28, 1999 at 09:33:22
After diagnosis of vesicoureteric reflux, my daughter had a Teflon injection to strengthen the bladder wall (STING, I believe) ten years ago at age 5. She had one isolated infection 3 years ago and another just this week. I have been unable to find long-term data on this procedure. What are the chances it is failing? How can we tell other than by waiting to see if there is a repeat infection or by VCUG?
Posted by HFHS M.D.-JS on August 05, 1999 at 10:35:20
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Thank you for your inquiry. I did a small literature search concerning your topic, by no means was the search exhaustive, but I came across one article from the British Journal of Urology by Bhatti et al 1993. who described this technique in 135 patients with primary reflux . The follow up period 3-5 years with a success rate of 90% but this include more that one injection/operation for those who failed the first time = 48 patients. The cause of most failures was leaking of the Teflon from the injection site. This is one isolated study with minimal long term follow up but the rates of failure are higher than that of a surgical procedure for correction of the reflux
The follow up for reflux should be voiding cystourethrogram and ultrasound to evaluate the kidneys for sequalae from reflux i.e. scarring and to determine if the reflux is still occurring and to what degree especially in the face of symptoms, urinary tract infections. If the reflux is still occurring please consult your urologist for therapeutic options including surgery.
This information is provided for general medical education purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653 6568).
Sincerely,
HFHS M.D.-JS
*Keyword:STING Procedure
